SUMMARY

The MSSP Attribution Manager is responsible for overseeing the attribution and analysis of Medicare beneficiaries within the Medicare Shared Savings Program (MSSP). This role plays a critical part in supporting Accountable Care Organization (ACO) performance by ensuring attribution accuracy, maximizing alignment and attribution opportunities, analyzing trends, and supporting care team and provider engagement strategies. The ideal candidate is analytical, collaborative, and experienced in managing CMS data and ACO program metrics.

EDUCATION AND EXPERIENCE

• Bachelor’s degree in health administration, Public Health, Business, or related field; Master’s degree preferred.
• Experience working in Medicare ACOs, population health, healthcare analytics, or MSSP programs.
• Comprehensive understanding of CMS attribution methodology and MSSP requirements.
• Experience working with CMS reports (e.g., CCLF files, Monthly Membership Reports, Quarterly Assignment Reports).
• Proficiency in data analysis tools (e.g., Excel, Tableau, Power BI) and EHR/population health platforms.
• Excellent communication skills with the ability to translate data into actionable insights.
• Highly organized with strong project management and problem-solving abilities.

PREFERRED QUALIFICATIONS

• Experience working with CMS, CMMI and other value-based programs care models.
• Familiarity with risk adjustment and quality reporting (e.g., MIPS, QPP).
• Experience working with population health management tools or care coordination platforms.

ESSENTIAL SKILLS AND ABILITIES

• Thrives in an unstructured, start-up environment.
• Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Advanced knowledge of word processing, graphic presentation and computer software related to specific tasks
• Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities
• Working knowledge of company policies, procedures, and operations
• Excellent composition, grammar, and business language skills
• Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail-oriented
• Excellent judgment in handling confidential and sensitive information
• Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
• Establishing and maintaining cooperative working relationships with others
• Ability to work across locations and time zones

• Manage and monitor MSSP beneficiary attribution files along with the CCLF files from CMS, including quarterly reports, monthly updates, and annual reconciliation files.
• Monitor billing files, where possible to monitor provider activity that could impact attribution.
• Identify and analyze trends in patient attribution and interference from out of “network providers”, and provider engagement strategies.
• Serve as a subject matter expert on MSSP attribution methodology, ensuring internal teams and providers understand how attribution affects performance and shared savings and developing reports for ACO provider participants.
• Collaborate with clinical and operational teams to optimize patient alignment.
• Develop dashboards, trackers, and reporting tools to visualize attribution performance and share insights with internal and external stakeholders.
• Coordinate with CMS and third-party data vendors (e.g., CMMI, ACO REACH, DCE platforms) as needed to resolve data discrepancies or changes in attribution methodology.
• Partner with contracting and credentialing teams to ensure provider lists are updated and accurately reflected in CMS rosters in a timely and efficient manner relative to the appropriate performance year.
• Support compliance with MSSP attribution requirements, deadlines, and documentation.
• Monitor ACO assignment lists to ensure appropriate member assignment to providers and outreach efforts are directed efficiently.
• Participate and help lead in ACO strategy meetings to provide attribution insights that inform quality improvement and financial performance initiatives.